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结肠癌肝转移的相关危险因素研究

师贞宗 董媛 陈先祥

湖北医药学院学报2016,Vol.35Issue(6):570-573,4.
湖北医药学院学报2016,Vol.35Issue(6):570-573,4.DOI:10.13819/j.issn.1006-9674.2016.06.010

结肠癌肝转移的相关危险因素研究

The Related Risk Factors Research of Hepatic Metastasis in Patients with Colon Cancer

师贞宗 1董媛 2陈先祥3

作者信息

  • 1. 湖北医药学院附属人民医院甲状腺乳腺血管外科,湖北十堰442000
  • 2. 湖北医药学院附属人民医院消化内科,湖北十堰442000
  • 3. 湖北医药学院附属人民医院肝胆外科,湖北十堰442000
  • 折叠

摘要

Abstract

Objective To explore the related risk factors of hepatic metastasis in patients with colon cancer.Methods From January 1997 to December 2013,the clinical data of 934 patients with colon cancer in our hospital were retrospectively analyzed by single factor and multiple factor Logistic regression analysis,so as to explore the related risk factors of hepatic metastasis.Results The results of single factor analysis showed that the complications,celiac planting,lymph node metastasis,tumor invasion,tumor differentiation degree and serum CEA level were significantly different between patients with and without hepatic metastasis(P<0.01).The results of multiple factor Logistic regression analysis demonstrated that six factors including deeply infiltration (OR =5.367,95%CI =2.451 ~ 11.755),celiac planting (OR =5.778,95% CI =1.963~17.009),lymph node metastasis (OR=5.178,95%CI =3.963~ 18.009),high differentiation degree (OR =4.962,95%CI=2.958~ 16.016),no complications(OR=1.896,95%CI=1.853~ 14.617) and serum high CEA level (OR=1.076,95%CI=1.489~ 13.817) were closely related to the incidence of hepatic metastasis in patients with colon cancer.And they were independent risk factors.Conclusion The factors such as complications,celiac planting,lymph node metastasis,tumor invasion,tumor differentiation degree and level of serum CEA are closely related to hepatic metastasis of colon cancer.The related factors includingdeeplyinfiltration,celiacplanting,the lymphnodemetastasis,high degreeofdifferentiation,no complicationsand high serum CEA level are the major independent risk factors for liver metastasis of colon cancer.

关键词

结肠癌/肝转移/危险因素

Key words

Colon cancer/Hepatic metastasis/Risk factor

引用本文复制引用

师贞宗,董媛,陈先祥..结肠癌肝转移的相关危险因素研究[J].湖北医药学院学报,2016,35(6):570-573,4.

湖北医药学院学报

2096-708X

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